Examinando por Autor "Miangolarra-Page, Juan Carlos"

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Effects of body composition on postural balance in sedentary Spanish adult males: a cross-sectional study
(2022-04) Delfa-DeLaMorena, José Manuel; Rojo-Tirado, Miguel Ángel; Aparecida-Castro, Eliane; Aparecida-Doimo, Leonice; Miangolarra-Page, Juan Carlos; Benito-Peinado, Pedro J.; Bores-García, Daniel
The aim of this study was to analyze the influence of anthropometric variables, body composition variables and fat distribution on the postural control of sedentary Spanish males. 39 males aged between 25 and 60 years old, with a body mass index between 18 and 35 kg/m2, a stable body weight (no weight gain or loss of 2 kg or more in the last 3 months), and a level of physical activity classified as sedentary or low active (PAL <1.6 via accelerometer) were included in the study. Anthropometric variables (weight, height, body mass index and waist and hip perimeters), body composition variables (fat mass, lean mass and bone mass), body mass distribution (legs, android and total) and postural control were evaluated. A correlation was found between most of the anthropometric and body composition variables, assessed via the Somatosensory ratio of the Sensory Organization Test. Furthermore, individuals with a low percentage of leg and android fat mass presented improved scores when compared to those with higher percentages (97.05±2.66 vs. 95.84±1.64 and 97.00±2.61vs 95.83±1.69, respectively; p<0.05). Sedentary males with a greater body mass index and a higher percentage of leg fat mass and android fat mass are more proprioceptively challenged for maintaining balance.
Influence of Age, Gender and Education Level on Executive Functions and Functioning in People with Stroke
(MDPI, 2023-06-01) Sánchez-Herrera-Baeza, Patricia; Cano-de-la-Cuerda, Roberto; Serrada-Tejeda, Sergio; Fernández-Vázquez, Diego; Navarro-López, Víctor; González-Alted, Carlos; Miangolarra-Page, Juan Carlos
Background: Alterations in mental functions are among the most frequent manifestations of stroke that have a direct impact on the patient’s functionality. The objective of this study was to analyze the relationship of sociodemographic variables with the executive functions (EFs) of participants with right middle cerebral artery (MCA) stroke. Methods: A cross-sectional observational case-control study was conducted at the State Center for Brain Damage in Madrid, Spain. Fifty-eight subjects were recruited and divided into two groups. Each participant was administered the following: the FIM+FAM Functional Assessment Measure, the Lawton and Brody scale, The Trail-Making Test, the Zoo Map Test and the Hanoi Tower. Results: Statistically significant differences (p < 0.05) were identified between participants with ischemic stroke and control in functional and EF functions, as well as between participants with hemorrhagic stroke and control. No statistically significant differences were found in the experimental group between subjects who had sustained ischemic and hemorrhagic stroke. No significant associations were identified between the variables age, gender and education level in relation to functionality and executive functions (p > 0.05) in people with stroke. Conclusion: People who have suffered a right cerebral artery stroke have deficiencies in the EFS, resulting in poorer performance of the activity of daily living, compared to healthy subjects of the same age, gender and education level. In the correlational analysis of the stroke participants, no significant associations were identified between the variables gender, age and education level in relation to functionality and EF
Kinematic Gait Analysis in People with Mild-Disability Multiple Sclerosis Using Statistical Parametric Mapping: A Cross-Sectional Study
(2023-09) Fernández-Vázquez, Diego; Calvo-Malón, Gabriela; Molina-Rueda, Francisco; López-González, Raúl; Carratalá Tejada, Maria; Navarro-López, Víctor; Miangolarra-Page, Juan Carlos
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system. Gait abnormalities, such as altered joint kinematics, are common in people with MS (pwMS). Traditional clinical gait assessments may not detect subtle kinematic alterations, but advances in motion capture technology and analysis methods, such as statistical parametric mapping (SPM), offer more detailed assessments. The aim of this study was to compare the lower-limb joint kinematics during gait between pwMS and healthy controls using SPM analysis. Methods: A cross-sectional study was conducted involving pwMS and healthy controls. A three-dimensional motion capture system was used to obtain the kinematic parameters of the more affected lower limb (MALL) and less affected lower limb (LALL), which were compared using the SPM analysis. Results: The study included 10 pwMS with mild disability (EDSS ≤ 3) and 10 healthy controls. The results showed no differences in spatiotemporal parameters. However, significant differences were observed in the kinematics of the lower-limb joints using SPM. In pwMS, compared to healthy controls, there was a higher anterior pelvis tilt (MALL, p = 0.047), reduced pelvis elevation (MALL, p = 0.024; LALL, p = 0.044), reduced pelvis descent (MALL, p = 0.033; LALL, p = 0.022), reduced hip extension during pre-swing (MALL, p = 0.049), increased hip flexion during terminal swing (MALL, p = 0.046), reduced knee flexion (MALL, p = 0.04; LALL, p < 0.001), and reduced range of motion in ankle plantarflexion (MALL, p = 0.048). Conclusions: pwMS with mild disability exhibit specific kinematic abnormalities during gait. SPM analysis can detect alterations in the kinematic parameters of gait in pwMS with mild disability.
Leap motion controlled video game-based therapy for upper limb rehabilitation in patients with Parkinson's disease: a feasibility study
(2019-11) Fernández-González, Pilar; Carratalá Tejada, Maria; Monge-Pereira, Esther; Collado-Vázquez, Susana; Sánchez-Herrera Baeza, Patricia; Cuesta-Gómez, Alicia; Oña-Simbaña, Edwin; Jardón-Huete, Alberto; Molina-Rueda, Francisco; Balaguer-Bernaldo de Quirós, Carlos; Miangolarra-Page, Juan Carlos; Cano-de la Cuerda, Roberto
Background: Non-immersive video games are currently being used as technological rehabilitation tools for individuals with Parkinson’s disease (PD). The aim of this feasibility study was to evaluate the effectiveness of the Leap Motion Controller® (LMC) system used with serious games designed for the upper limb (UL), as well as the levels of satisfaction and compliance among patients in mild-to-moderate stages of the disease. Methods: A non-probabilistic sampling of non-consecutive cases was performed. 23 PD patients, in stages II-IV of the Hoehn & Yahr scale, were randomized into two groups: an experimental group (n = 12) who received treatment based on serious games designed by the research team using the LMC system for the UL, and a control group (n = 11) who received a specific intervention for the UL. Grip muscle strength, coordination, speed of movements, fine and gross UL dexterity, as well as satisfaction and compliance, were assessed in both groups pre-treatment and post-treatment. Results: Within the experimental group, significant improvements were observed in all post-treatment assessments, except for Box and Blocks test for the less affected side. Clinical improvements were observed for all assessments in the control group. Statistical intergroup analysis showed significant improvements in coordination, speed of movements and fine motor dexterity scores on the more affected side of patients in the experimental group. Conclusions: The LMC system and the serious games designed may be a feasible rehabilitation tool for the improvement of coordination, speed of movements and fine UL dexterity in PD patients. Further studies are needed to confirm these preliminary findings.
Reflex Locomotion Therapy for Balance, Gait, and Fatigue Rehabilitation in Subjects with Multiple Sclerosis
(2022-01) Carratalá-Tejada, María; Cuesta Gómez, Alicia; Ortiz-Gutiérrez, Rosa; Molina-Rueda, Francisco; Luna-Oliva, Laura; Miangolarra-Page, Juan Carlos
This study evaluates the effects of a rehabilitation program based on reflex locomotion therapy (RLT) on balance, gait, and fatigue in patients with multiple sclerosis (MS). Twenty-three patients diagnosed with MS participated in this study. Reversal design was carried out. The assessment tools included the Berg Balance Scale (BBS), the Performance Oriented Mobility Assessment (POMA), the Fatigue Severity Scale (FSS) and the instrumental analysis of the gait recorded by Vicon Motion System®. We analyzed spatio-temporal parameters and kinematic variables of the hip, knee, and ankle joints. Additionally, the Client Satisfaction Questionnaire (CSQ-8) was administrated. We did find a significant improvement in balance and gait tools after the RLT period. Regarding instrumental analysis, the statistical analysis of spatio-temporal parameters showed a significant improvement in stride length, double support, and velocity after the RLT period. Concerning kinematic parameters, the analysis showed improvements in hip and knee range of motion (ROM) after RLT period. RLT could improve gait and balance in patients with MS. The patients reported a high level of satisfaction with the therapy received.
Reliability of Kinovea® Software and Agreement with a Three-Dimensional Motion System for Gait Analysis in Healthy Subjects. Sensors (Basel)
(2020-06) Fernández-González, Pilar; Koutsou, Aikaterina; Cuesta-Gómez, Alicia; Carratalá-Tejada, Maria; Miangolarra-Page, Juan Carlos; Molina-Rueda, Francisco
: Gait analysis is necessary to diagnose movement disorders. In order to reduce the costs of three-dimensional motion capture systems, new low-cost methods of motion analysis have been developed. The purpose of this study was to evaluate the inter- and intra-rater reliability of Kinovea® and the agreement with a three-dimensional motion system for detecting the joint angles of the hip, knee and ankle during the initial contact phase of walking. Fifty healthy subjects participated in this study. All participants were examined twice with a one-week interval between the two appointments. The motion data were recorded using the VICON Motion System® and digital video cameras. The intra-rater reliability showed a good correlation for the hip, the knee and the ankle joints (Intraclass Correlation Coefficient, ICC > 0.85) for both observers. The ICC for the inter-rater reliability was >0.90 for the hip, the knee and the ankle joints. The Bland–Altman plots showed that the magnitude of disagreement was approximately ±5 ◦ for intra-rater reliability, ±2.5◦ for inter-rater reliability and around ±2.5◦ to ±5 ◦ for Kinovea® versus Vicon®. The ICC was good for the hip, knee and ankle angles registered with Kinovea® during the initial contact of walking for both observers (intra-rater reliability) and higher for the agreement between observers (inter-rater reliability). However, the Bland–Altman plots showed disagreement between observers, measurements and systems (Kinovea® vs. three-dimensional motion system) that should be considered in the interpretation of clinical evaluations.